Phonological Intervention Strategies Part 2

Phonological Pattern Interventions

Pattern selection for phonological treatment:

• choose processes that are:

  • early

  • affect early sounds

  • less stable

  • impacting intelligibility the most

  • crucial for the child

  • GR, ICD, homonymy

  • phono goals should include more than one sound

nondevelopmental phono processes:

• backing

• ICD

• glottal replacement

Typically developing children frequently do:

• unstressed syllable deletion (ephant for elephant)

• consonant cluster reduction (bu for blue)

• assimilation (goggie for doggie)

• FCD (ba for ball)

Cycles approach definition:

• used to treat phono disorders

• most widely used

• linguistic/motor based activities

• approp for children with highly unintell speech

• phono patterns targeted for designated amount of time

• session includes auditory bombardment, production training, stimulability probes, take home hw

• mild-severe range of disorders

• process is gradual, takes time

whos cycles for?

• highly unintell children

• multiple speech sound errors

• 2-14 age

• mod-severe range of disorders

how long have to do cycles?

• 2-6 hours of direct intervention

• continue to introduce new targets following a specified amount of time

• progression not based on level of mastery

• each cycle repeated until emerges in spontaneous speech

targeting in cycles approach:

• 60 mins per phoneme target

• target at least 2 phonemes per target pattern

• reassesses phonology btw cycles

• recycle primary patterns until seen in spontaneous speech

pros of cycles approach:

• highly structured

• option for unintell children

• few materials

• home program

• combines elements (perception and motor)

cons of cycles approach:

• time commitment

• longer planning time

• clinician learning

• tracking progress toward next cycle

• lack of accuracy to move to next target

broad based language approach def:

• primary population is young preschoolers/toddlers

• secondary pops: children with DS and ASD

• children who stutter

• mod-severe range

• possibly use after another intervention did not work

broad based language approaches: two

• naturalistic method

  • phase one natural recast

  • phase two speech recast

• whole language

  • environment

  • comm opps

  • feedback

who are broad based language approaches for?

• highly unintell

• mod to severe speech sound disorders